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논문 기본 정보

자료유형
학술저널
저자정보
Ku Sang Kim (Ulsan City Hospital) Zisun Kim (Soonchunhyang University College of Medicine) Eun-Jung Shim (Pusan National University) Nam Hyoung Kim (Kaywon University of Art and Design) So-Youn Jung (National Cancer Center) Jisun Kim (University of Ulsan College of Medicine) Guiyun Sohn (University of Ulsan College of Medicine) Jong Won Lee (University of Ulsan College of Medicine) Jihyoung Cho (Keimyung University School of Medicine) Jung Eun Lee (Sookmyung Women’s University) Juhyung Lee (Chonbuk National University Medical School) Hyun Jo Youn (Chonbuk National University Medical School) Jihyoun Lee (Soonchunhyang University College of Medicine) Min Hyuk Lee (Soonchunhyang University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.88 No.3
발행연도
2015.2
수록면
133 - 139 (19page)

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Purpose: Follow-up after primary treatment for breast cancer is an important component of survivor care and various international guidelines exist for the surveillance. However, little is known about current actual practice patterns of physicians whether they adhere to or deviate from recommended guidelines. The aim of this study was to determine how physicians follow-up their patients after primary treatment for breast cancer in Korea.
Methods: A questionnaire survey with 34 questions in 4 categories was e-mailed to the members of Korean Breast Cancer Society from November to December 2013. Respondents were asked how they use follow-up modalities after primary treatment of breast cancer and we compared the survey results with present guidelines.
Results: Of the 129 respondents, 123 (95.3%) were breast surgeons. The most important consideration in follow-up was tumor stage. History taking, physical examinations, and mammography were conducted in similar frequency recommended by other guidelines while breast ultrasonography was performed more often. The advanced imaging studies such as CT, MRI, and bone scan, which had been recommended to be conducted only if necessary, were also examined more frequently. Regular screenings for secondary malignancy were performed in 38 respondents (29.5%). Five years later after primary treatment, almost the whole respondents (94.6%) themselves monitored their patients.
Conclusion: A majority of respondents have been performed more intensive follow-up modalities in comparison with present guidelines and less frequently screenings for secondary malignancy. For optimal follow-up of breast cancer survivors, tailored delivery system should be considered.
#Surveillance #Breast neoplasms #Survivors #Guideline

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